Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XM0800X | Mental Health | 001215 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 001215 | OH |
NPI | 1043613524 |
---|---|
Provider Name | Ms. Alycia Rozen |
First Address | Cincinnati, OH 45226-2065 |
Second Address | Cincinnati, OH 45226-2065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2014 |
Last Update Date | 29/09/2014 |